Abstract
This study aimed to validate the Japanese version of a dysphagia-specific quality of life questionnaire, the MD Anderson Dysphagia Inventory (MDADI-J), and to verify trends between MDADI-J and Functional Oral Intake Scale (FOIS) scores. The original 20 MDADI items were translated using a forward–backward method following accepted cultural adaptation guidelines. Seventy-two patients with a history of head and neck cancer treatment completed the MDADI-J between October 2015 and August 2016. Concurrent validity was determined by correlations with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Head and Neck 35 (EORTC QLQ-H&N35) instruments. Discriminant validity was examined using cancer stage grouping between stages I–II and III–IV. Additionally, trends between the FOIS and the MDADI-J total scores were analyzed using a trend test. The Cronbach’s α coefficient of the MDADI-J total score was 0.92, indicating high internal consistency. The average inter-item correlation coefficients ranged from 0.39 to 0.49. ICC, an indicator of test–retest reliability, was 0.84 for the total score, and 0.58 to 0.81 for individual subscales. The total score and all subscales were significantly associated with the scores for each factor of the EORTC QLQ-C30 and EORTC QLQ-H&N35. The total score and all subscales were significantly different between clinical tumor stages I–II and III–IV. The total scores all increased with the progress of the FOIS. In conclusion, this study validated the Japanese version of the MDADI and showed that as FOIS scores deteriorate, MDADI-J scores tend to constantly decrease.
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Hori M, Matsuda T, Shibata A, Katanoda K, Sobue T, Nishimoto H. Cancer incidence and incidence rates in Japan in 2009: a study of 32 population-based cancer registries for the Monitoring of Cancer Incidence in Japan (MCIJ) project. Jpn J Clin Oncol. 2015;45(9):884–91. doi:10.1093/jjco/hyv088.
Dholam KP, Dugad JA, Sadashiva KM. Impact of oral rehabilitation on patients with head and neck cancer: a study using the Liverpool Oral Rehabilitation Questionnaire and the Oral Health Impact Profile-14. J Prosthet Dent. 2016;117:559–62. doi:10.1016/j.prosdent.2016.06.019.
Denaro N, Merlano MC, Russi EG. Dysphagia in head and neck cancer patients: pretreatment evaluation, predictive factors, and assessment during radio-chemotherapy, recommendations. Clin Exp Otorhinolaryngol. 2013;6(3):117–26. doi:10.3342/ceo.2013.6.3.117.
Russi EG, Corvo R, Merlotti A, Alterio D, Franco P, Pergolizzi S, De Sanctis V, Ruo Redda MG, Ricardi U, Paiar F, Bonomo P, Merlano MC, Zurlo V, Chiesa F, Sanguineti G, Bernier J. Swallowing dysfunction in head and neck cancer patients treated by radiotherapy: review and recommendations of the supportive task group of the Italian Association of Radiation Oncology. Cancer Treat Rev. 2012;38(8):1033–49. doi:10.1016/j.ctrv.2012.04.002.
Dale OT, Han C, Burgess CA, Eves S, Harris CE, White PL, Shah RT, Howard A, Winter SC. Long-term functional outcomes in surgically treated patients with oropharyngeal cancer. Laryngoscope. 2015;125(7):1637–43. doi:10.1002/lary.25226.
Rogers SN, Heseltine N, Flexen J, Winstanley HR, Cole-Hawkins H, Kanatas A. Structured review of papers reporting specific functions in patients with cancer of the head and neck: 2006–2013. Br J Oral Maxillofac Surg. 2016;54(6):e45–51. doi:10.1016/j.bjoms.2016.02.012.
Parkar SM, Shah MN. A relationship between quality-of-life and head and neck cancer: a systemic review. South Asian J Cancer. 2015;4(4):179–82. doi:10.4103/2278-330X.175955.
Heutte N, Plisson L, Lange M, Prevost V, Babin E. Quality of life tools in head and neck oncology. Eur Ann Otorhinolaryngol Head Neck Dis. 2014;131(1):33–47. doi:10.1016/j.anorl.2013.05.002.
Ojo B, Genden EM, Teng MS, Milbury K, Misiukiewicz KJ, Badr H. A systematic review of head and neck cancer quality of life assessment instruments. Oral Oncol. 2012;48(10):923–37. doi:10.1016/j.oraloncology.2012.03.025.
Toth G, Tsukuda M. The European Organisation for Research and Treatment of Cancer (EORTC) quality of life questionnaire for Japanese patients with head and neck cancer—the Japanese version of QLQ-H&N35. Gan To Kagaku Ryoho. 2004;31(3):461–7.
Rinkel RN, Verdonck-de Leeuw IM, van den Brakel N, de Bree R, Eerenstein SE, Aaronson N, Leemans CR. Patient-reported symptom questionnaires in laryngeal cancer: voice, speech and swallowing. Oral Oncol. 2014;50(8):759–64. doi:10.1016/j.oraloncology.2014.05.009.
Fukuhara S, Yamazaki S, Hayashino Y, Green J. Measuring health-related quality of life in patients with end-stage renal disease: why and how. Nat Clin Pract Nephrol. 2007;3(7):352–3. doi:10.1038/ncpneph0510.
Guedes RL, Angelis EC, Chen AY, Kowalski LP, Vartanian JG. Validation and application of the M.D. Anderson Dysphagia Inventory in patients treated for head and neck cancer in Brazil. Dysphagia. 2013;28(1):24–32. doi:10.1007/s00455-012-9409-x.
Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, Goepfert H. The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the M.D. Anderson Dysphagia Inventory. Arch Otolaryngol Head Neck Surg. 2001;127(7):870–6.
Hutcheson KA, Barrow MP, Lisec A, Barringer DA, Gries K, Lewin JS. What is a clinically relevant difference in MDADI scores between groups of head and neck cancer patients? Laryngoscope. 2016;126(5):1108–13. doi:10.1002/lary.25778.
Osthus AA, Aarstad AK, Olofsson J, Aarstad HJ. Head and neck specific Health Related Quality of Life scores predict subsequent survival in successfully treated head and neck cancer patients: a prospective cohort study. Oral Oncol. 2011;47(10):974–9. doi:10.1016/j.oraloncology.2011.07.010.
Heijnen BJ, Speyer R, Bulow M, Kuijpers LM. ‘What about swallowing?’ Diagnostic performance of daily clinical practice compared with the Eating Assessment Tool-10. Dysphagia. 2016;31(2):214–22. doi:10.1007/s00455-015-9680-8.
Wilson RD, Howe EC. A cost-effectiveness analysis of screening methods for dysphagia after stroke. PM&R. 2012;4(4):273–82. doi:10.1016/j.pmrj.2011.09.006.
Crary MA, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehabil. 2005;86(8):1516–20. doi:10.1016/j.apmr.2004.11.049.
Yang CJ, Roh JL, Choi KH, Kim MJ, Choi SH, Nam SY, Kim SY. Pretreatment Dysphagia Inventory and videofluorographic swallowing study as prognostic indicators of early survival outcomes in head and neck cancer. Cancer. 2015;121(10):1588–98. doi:10.1002/cncr.29245.
Heijnen BJ, Speyer R, Baijens LW, Bogaardt HC. Neuromuscular electrical stimulation versus traditional therapy in patients with Parkinson’s disease and oropharyngeal dysphagia: effects on quality of life. Dysphagia. 2012;27(3):336–45. doi:10.1007/s00455-011-9371-z.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186–91.
Yamazaki M, Inukai M, Baba K, John MT. Japanese version of the Oral Health Impact Profile (OHIP-J). J Oral Rehabil. 2007;34(3):159–68. doi:10.1111/j.1365-2842.2006.01693.x.
Kwon CH, Kim YH, Park JH, Oh BM, Han TR. Validity and reliability of the korean version of the MD Anderson Dysphagia Inventory for head and neck cancer patients. Ann Rehabil Med. 2013;37(4):479–87. doi:10.5535/arm.2013.37.4.479.
Krebber AM, Jansen F, Cuijpers P, Leemans CR, Verdonck-de Leeuw IM. Screening for psychological distress in follow-up care to identify head and neck cancer patients with untreated distress. Support Care Cancer. 2016;24(6):2541–8. doi:10.1007/s00520-015-3053-6.
Kraaijenga SA, Oskam IM, van der Molen L, Hamming-Vrieze O, Hilgers FJ, van den Brekel MW. Evaluation of long term (10-years+) dysphagia and trismus in patients treated with concurrent chemo-radiotherapy for advanced head and neck cancer. Oral Oncol. 2015;51(8):787–94. doi:10.1016/j.oraloncology.2015.05.003.
Hama Y, Kanazawa M, Minakuchi S, Uchida T, Sasaki Y. Reliability and validity of a quantitative color scale to evaluate masticatory performance using color-changeable chewing gum. J Med Dent Sci. 2014;61(1):1–6.
Barroso EM, Carvalho AL, Paiva CE, Murphy BA, Paiva BS. The Vanderbilt Head and Neck Symptom Survey Brazilian Portuguese version 2.0 (VHNSS 2.0): psychometric properties for patients with head and neck cancer who have undergone radiotherapy. BMC Res Notes. 2015;8:522. doi:10.1186/s13104-015-1470-8.
Carlsson S, Ryden A, Rudberg I, Bove M, Bergquist H, Finizia C. Validation of the Swedish M. D. Anderson Dysphagia Inventory (MDADI) in patients with head and neck cancer and neurologic swallowing disturbances. Dysphagia. 2012;27(3):361–9. doi:10.1007/s00455-011-9375-8.
Speyer R, Heijnen BJ, Baijens LW, Vrijenhoef FH, Otters EF, Roodenburg N, Bogaardt HC. Quality of life in oncological patients with oropharyngeal dysphagia: validity and reliability of the Dutch version of the MD Anderson Dysphagia Inventory and the Deglutition Handicap Index. Dysphagia. 2011;26(4):407–14. doi:10.1007/s00455-011-9327-3.
Komagamine Y, Kanazawa M, Kaiba Y, Sato Y, Minakuchi S. Reliability and validity of a questionnaire for self-assessment of complete dentures. BMC Oral Health. 2014;14:45. doi:10.1186/1472-6831-14-45.
Murphy BA, Ridner S, Wells N, Dietrich M. Quality of life research in head and neck cancer: a review of the current state of the science. Crit Rev Oncol Hematol. 2007;62(3):251–67. doi:10.1016/j.critrevonc.2006.07.005.
Darvall KA, Bate GR, Adam DJ, Bradbury AW. Generic health-related quality of life is significantly worse in varicose vein patients with lower limb symptoms independent of CEAP clinical grade. Eur J Vasc Endovasc Surg. 2012;44(3):341–4. doi:10.1016/j.ejvs.2012.06.022.
Acknowledgements
We acknowledge the help of the staff who belong to the NTT Medical center Tokyo and Kyushu Dental University hospital with the fieldwork, and important discussions with Dr. Yukihiko Hashida at Dentistry and Oral Surgery, NTT Medical Center Tokyo.
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Matsuda, Y., Kanazawa, M., Komagamine, Y. et al. Reliability and Validity of the MD Anderson Dysphagia Inventory Among Japanese Patients. Dysphagia 33, 123–132 (2018). https://doi.org/10.1007/s00455-017-9842-y
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DOI: https://doi.org/10.1007/s00455-017-9842-y